Urgent Care & Walk-In Clinic Quality Management System

A comprehensive QMS template designed for urgent care centers, walk-in clinics, and immediate care facilities.

🏥 Designed For

• Urgent Care Centers - Walk-in acute care facilities
• Retail Health Clinics - Pharmacy-based clinics
• Occupational Health Clinics - Workers' comp and employer health
• After-Hours Clinics - Extended hour primary care
• Pediatric Urgent Care - Children's walk-in services
• Sports Medicine Clinics - Athletic injury care
• Freestanding Emergency Departments - Stand-alone emergency services

📋 Regulatory Framework

This template supports compliance with:

• The Joint Commission - Ambulatory Care accreditation
• UCAOA - Urgent Care Association standards and benchmarks
• CMS - Medicare/Medicaid requirements
• State Medical Board - Physician practice and supervision
• OSHA - Bloodborne pathogens, workplace safety
• HIPAA - Patient privacy requirements
• CLIA - Point-of-care testing requirements
• State Facility Licensing - Urgent care facility regulations
• EMTALA - Emergency screening requirements (if applicable)
• CDC - Infection control guidelines

Repository Structure

├── SOPs/
│   ├── Patient-Flow/          # Triage, registration, rooming, discharge
│   ├── Clinical-Protocols/    # Chief complaint-based treatment pathways
│   ├── Procedures/            # Suturing, splinting, I&D, injections
│   ├── Diagnostics/           # X-ray, lab, POCT procedures
│   ├── Safety/                # Infection control, emergencies, transfers
│   └── General/               # Document control, training, CAPA
├── Forms/
│   ├── Triage-Forms/          # ESI triage, vital signs, acuity
│   ├── Visit-Documentation/   # History, exam, assessment, plan templates
│   ├── Procedure-Consent/     # Procedure-specific consent forms
│   ├── Discharge-Instructions/# Condition-specific aftercare
│   ├── POCT-Records/          # Point-of-care testing logs
│   └── Training/              # Competency assessments
├── Policies/                  # Facility policies
├── Work-Instructions/         # Step-by-step procedures
└── Templates/                 # Document templates

Document Numbering Convention

• POL-XXX: Policies
• SOP-PF-XXX: Patient Flow SOPs
• SOP-CP-XXX: Clinical Protocol SOPs
• SOP-PRC-XXX: Procedure SOPs
• SOP-DX-XXX: Diagnostic SOPs
• SOP-SAF-XXX: Safety SOPs
• WI-XXX: Work Instructions
• FRM-XXX: Forms and Records

🤖 AI-Powered Assistance

This repository includes AtomicAI, your urgent care QMS assistant. Mention @atomicai in any issue or pull request to:

• Draft triage and patient flow procedures
• Create clinical treatment protocols
• Generate procedure SOPs for common urgent care procedures
• Develop discharge instruction templates
• Create emergency transfer protocols
• Review documents for accreditation compliance

Example Prompts

• "@atomicai create an SOP for ESI triage in urgent care"
• "@atomicai draft a laceration repair protocol with suturing technique"
• "@atomicai write a chest pain evaluation and transfer protocol"
• "@atomicai create discharge instructions for ankle sprain"
• "@atomicai develop a point-of-care strep testing procedure"
• "@atomicai create an occupational injury documentation form"

Getting Started

1. Establish Triage Protocols - Implement acuity-based patient flow
2. Define Clinical Pathways - Create chief complaint-based protocols
3. Set Up Procedure Standards - Document common urgent care procedures
4. Implement POCT Program - Configure point-of-care testing QC
5. Train Staff - Use competency assessment forms

Key Documents to Create First

1. Triage Protocol - Acuity assessment and flow decisions
2. Chest Pain/ACS Protocol - High-risk complaint management
3. Laceration Repair SOP - Wound care and suturing procedure
4. Fracture/Splinting Protocol - Immobilization and referral
5. Transfer to ED Protocol - Emergency transfer criteria and process
6. POCT Quality Control SOP - Point-of-care testing requirements
7. Discharge Instruction Library - Condition-specific aftercare

Special Considerations for Urgent Care

Patient Flow

• Walk-in vs. scheduled appointments
• Triage and acuity assessment
• Wait time management
• Left without being seen (LWBS) tracking
• Throughput optimization

Clinical Scope

• Chief complaint-based protocols
• Scope of practice limitations
• Transfer and referral criteria
• High-risk complaint management
• Pediatric-specific considerations

Procedures

• Wound care and suturing
• Fracture management and splinting
• Abscess I&D
• Foreign body removal
• Injection techniques

Safety and Compliance

• Emergency equipment and medications
• Infection control (isolation, PPE)
• Controlled substance management
• Medical record documentation
• Quality metrics (door-to-provider, LWBS)

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This template is maintained by AtomicQMS. For questions, open an issue in this repository.